HLP

Question 1

What does Montgomery Consent involve?

Answer 1

Inform any material risks involved in a proposed treatment and of reasonable alternatives.

Understand patient’s views and preferences about any proposed investigation or treatment and the adverse outcomes they are most concerned about

Do not make assumptions about the patient’s understanding of risk or the importance they attach to different outcomes

Question 2

What is classified as a ‘material risk’?

Answer 2

If a reasonable person in the patient’s position would be likely to attach significance to it, or if the practitioner is, or should reasonably be aware, that the patient would be likely to attach significance to it - then the risk is classed as material.

Question 3

When did the UK adopt Montgomery consent?

Answer 3

2015

Question 4

What are the principles of informed consent?

Answer 4

It must be:

1. Given voluntarily.
2. Given by an individual who has capacity.
3. Given by an individual who has been fully informed about the issues bearing in mind the obligations of Montgomery and GDC Standards.
4. Given anew when material risks change or when treatment options or treatment changes
5. Given with the patient’s knowledge that they can withdraw consent at any time.

Question 5

What is the age of legal capacity?

Answer 5

16 in Scotland
18 in England

Question 6

What is Gillick competence?

Answer 6

When children <16yrs can consent to tx with the understanding that they have the mental capacity

Question 7

What is the Professional Standards Authority?

Answer 7

The overarching body of the GDC

Question 8

What can you do to effectively communicate with your patients?

Answer 8

C - clear vocabulary and tone - offer help
C - connect
L - listen
E - empathise
A - ask - expectations, concerns, knowledge, permission for closed questions
R - review and check, confirm, correct, well-being, closure